| NPI | 1508983503 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHEW D SIMON President 954-792-0772 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: FL PY 6724) |
| Enumeration Date | 2007-03-23 |
| Last Update Date | 2007-09-27 |